Healthcare Provider Details

I. General information

NPI: 1639687916
Provider Name (Legal Business Name): RACHAEL RENEE DEAN DTV
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2018
Last Update Date: 01/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1943 BALDWIN RD
JACKSONVILLE IL
62650-6041
US

IV. Provider business mailing address

1943 BALDWIN RD
JACKSONVILLE IL
62650-6041
US

V. Phone/Fax

Practice location:
  • Phone: 217-371-9337
  • Fax:
Mailing address:
  • Phone: 217-371-9337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: